1-226064439-G-A

Variant summary

Our verdict is Likely pathogenic. Variant got 6 ACMG points: 7P and 1B. PM1PM2PP2PP5_ModerateBP4

The NM_002107.7(H3-3A):​c.88G>A​(p.Ala30Thr) variant causes a missense change involving the alteration of a conserved nucleotide. The variant was absent in control chromosomes in GnomAD project. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Likely pathogenic (★).

Frequency

Genomes: not found (cov: 31)
Exomes 𝑓: 6.8e-7 ( 0 hom. )
Failed GnomAD Quality Control

Consequence

H3-3A
NM_002107.7 missense

Scores

2
7
9

Clinical Significance

Likely pathogenic criteria provided, single submitter P:1

Conservation

PhyloP100: 9.99
Variant links:
Genes affected
H3-3A (HGNC:4764): (H3.3 histone A) Histones are basic nuclear proteins that are responsible for the nucleosome structure of the chromosomal fiber in eukaryotes. Two molecules of each of the four core histones (H2A, H2B, H3, and H4) form an octamer, around which approximately 146 bp of DNA is wrapped in repeating units, called nucleosomes. The linker histone, H1, interacts with linker DNA between nucleosomes and functions in the compaction of chromatin into higher order structures. This gene contains introns and its mRNA is polyadenylated, unlike most histone genes. The protein encoded is a replication-independent member of the histone H3 family. [provided by RefSeq, Jul 2008]

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ACMG classification

Classification made for transcript

Verdict is Likely_pathogenic. Variant got 6 ACMG points.

PM1
In a hotspot region, there are 2 aminoacids with missense pathogenic changes in the window of +-8 aminoacids around while only 0 benign, 3 uncertain in NM_002107.7
PM2
Very rare variant in population databases, with high coverage;
PP2
Missense variant in gene, where missense usually causes diseases (based on misZ statistic), H3-3A. . Gene score misZ 3.1568 (greater than the threshold 3.09). GenCC has associacion of gene with Bryant-Li-Bhoj neurodevelopmental syndrome 1.
PP5
Variant 1-226064439-G-A is Pathogenic according to our data. Variant chr1-226064439-G-A is described in ClinVar as [Likely_pathogenic]. Clinvar id is 429971.Status of the report is criteria_provided_single_submitter, 1 stars.
BP4
Computational evidence support a benign effect (MetaRNN=0.25688565). . Strength limited to SUPPORTING due to the PP5.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
H3-3ANM_002107.7 linkuse as main transcriptc.88G>A p.Ala30Thr missense_variant 2/4 ENST00000366815.10 NP_002098.1 P84243B2R4P9

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
H3-3AENST00000366815.10 linkuse as main transcriptc.88G>A p.Ala30Thr missense_variant 2/41 NM_002107.7 ENSP00000355780.3 P84243

Frequencies

GnomAD3 genomes
Cov.:
31
GnomAD4 exome
Data not reliable, filtered out with message: AS_VQSR
AF:
6.85e-7
AC:
1
AN:
1460356
Hom.:
0
Cov.:
29
AF XY:
0.00000138
AC XY:
1
AN XY:
726562
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
9.00e-7
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
Cov.:
31

ClinVar

Significance: Likely pathogenic
Submissions summary: Pathogenic:1
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

not provided Pathogenic:1
Likely pathogenic, criteria provided, single submitterclinical testingGeneDxJun 05, 2024De novo variant with confirmed parentage in a patient with global developmental delay, hypotonia, abnormalities on brain imaging, bilateral single palmar creases, and bilateral epicanthal folds (PMID: 33268356); In silico analysis supports that this missense variant has a deleterious effect on protein structure/function; Not observed at significant frequency in large population cohorts (gnomAD); This variant is associated with the following publications: (PMID: 35982159, 33057194, 33268356) -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_addAF
Benign
-0.017
T
BayesDel_noAF
Benign
-0.26
CADD
Pathogenic
27
DANN
Uncertain
0.97
DEOGEN2
Benign
0.11
T;T;T;T
Eigen
Uncertain
0.44
Eigen_PC
Uncertain
0.50
FATHMM_MKL
Pathogenic
0.98
D
LIST_S2
Uncertain
0.95
.;.;D;.
M_CAP
Benign
0.032
D
MetaRNN
Benign
0.26
T;T;T;T
MetaSVM
Benign
-0.48
T
MutationAssessor
Benign
1.9
L;L;.;L
PrimateAI
Pathogenic
0.84
D
PROVEAN
Uncertain
-3.5
D;D;D;D
REVEL
Uncertain
0.33
Sift
Uncertain
0.011
.;.;D;.
Sift4G
Benign
0.11
T;T;T;T
Polyphen
0.0010
B;B;D;B
Vest4
0.52
MutPred
0.29
Gain of phosphorylation at A30 (P = 0.0104);Gain of phosphorylation at A30 (P = 0.0104);Gain of phosphorylation at A30 (P = 0.0104);Gain of phosphorylation at A30 (P = 0.0104);
MVP
0.56
MPC
1.8
ClinPred
0.98
D
GERP RS
4.3
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.7
Varity_R
0.95
gMVP
0.73

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.010
Details are displayed if max score is > 0.2

Find out detailed SpliceAI scores and Pangolin per-transcript scores at spliceailookup.broadinstitute.org

Publications

LitVar

Below is the list of publications found by LitVar. It may be empty.

Other links and lift over

dbSNP: rs1131691704; hg19: chr1-226252140; API